HomeMy WebLinkAbout0001158 P
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Plumller
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I Ward I Addilion or Replat
OUTSIDE WORK
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Data
NIW SEwn WATER STORMS 'EES fEES RELAY S. SEWER WATER STORMS fEES
From MaIn to Curb Septic Tanks From Main to Curb
From Curb to BuDding Electric Pumps From Curb to Building
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INSIDE WORK
NO.
REP.
fEES
NEW
USED
FlES
NO.
NEW
REP. I USED
FEES
"O.
NEW
REP.
USED
Bath Tub
Garbage DIIpooaIa
Catcb Beslns
Wuh B...in
Dlshwuhen
Conducton
Wù.. Cl_t
LaundrlUll8.b
Greue Catch Buins
SIDIo:
Wùer Soften.rs
Sump Pump Ik Ejectors
Water Haù...
Sanilary Bubblen
Bar and Soda Wast.s
Shower Bùhs
Urinals
Floor Drains
Dental Cuspidors
Laundry Tubs
~~.::_._.._._---------_._-_.___Oulside
Service Sinks
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Fee Verified. Receipted and Recorded
Received Permit and Inspection Faeo
-------b_~___---Sawer Fees
------- ---------.Plbg. FHS
D~~-/,-~___._.Tÿt~ l ~.- 7'
-------..-.-.............-....-.---------------------Inside
---'-'7£1&~fi::f2---';~-~;
$----.--.-. .--.------..----.------..-.-......-..-------.------------
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In the perfDrmence of this work the undersigned owner (or his authorized agent) of said premises and his author ired Plumber hereby agree to be bounden by and
submit to all statutes, city ordinances, and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
I! Is futher agreed by- the undersigned that no other uses will be made of the above connections except as hereinafter listed.